Random thoughts from a few cantankerous American physicians. All contributors are board certified. Various specialties are represented here. I do not know where this will lead but hope it will at least be an enjoyable read. All of the names mentioned in this blog are pseudonyms, the ages have been changed, and in half the cases the gender as well. All photographs are published with patient consent or are digitally altered to preserve anonymity. Trust us, we're doctors.

The ironicity of the irony is almost too ironic. The only thing that makes these situations better is when the family arrives and says..."he's never been short of breath like this before". Once I accidently started laughing while very tired on a night shift, after hearing a comment like this. Not a guffaw, but just a little chuckle.

Our EMS flew a ninety-fricking six year old from BFE for consideration of tPA for her stroke!

Her family said "she was playing checkers when the symptoms started".

I have strong negative feelings about tPA for "Brain Attacks" anyway, and I don't believe in punative medicine....but I almost gave this lady a dose just so she could go to that great checker board in the sky!

Yeah, I know the waste of resources wasn't her fault....but still. Give me a break.